Organization
PASADENA PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD R NASIR MD (DIRECTOR)
(626) 797-4477
Entity
Organization
Contact information
Practice address
1403 N FAIR OAKS AVE, SUITE 2, PASADENA, CA 91103-1858
(626) 797-4477
(626) 797-4471
Mailing address
1403 N FAIR OAKS AVE, SUITE 2, PASADENA, CA 91103-1858
(626) 797-4477
(626) 797-4471
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A44253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A442530
BLUE CROSS BLUE SHIELD
CA
05
—
00A442532
—
CA
Enumeration date
02/10/2007
Last updated
09/24/2007
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